유한요소법을 이용한 임플란트 경부 디자인이 골응력에 미치는 영향 분석
Cervical design effect of dental implant on stress distribution in crestal cortical bone studied by finite element analysis
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연구목적: 임플란트 경부 디자인의 차이가 경부 치밀골의 응력분포에 미치는 영향을 유한요소법을 이용하여 분석하고자 한다. 연구재료 및 방법: 몸체 형상은 유사 (직경 4.3 mm, 길이 10 mm)하나 경부 디자인이 internal형, external형, 및 submerged형으로 다른 3종의 임플란트 시스템((주)덴티스, 대구, 대한민국)에 대하여 축대칭 유한요소모델을 사용하여 해석하였다. 악골 폭경은 7 mm로 동일하게 모델링하였고 하중 조건으로는 임플란트 장축에 평행한 수직하중 50 N, 임플란트 장축에 45〫방향으로 작용하는 경사력 50 N을 설정하였다. 결과: 해석한 3종의 임플란트 모두 경부 피질골에 응력집중을 발생시켰으며 디자인 차이에 따른 응력 수준의 차이가 관찰되었다. 경부 피질골의 최대 응력은 수직력 조건에서 internal형, submerged형, external형의 순으로 컸으며, 그 값은 각각 2.71, 2.60, 2.48 MPa였다. 경사력 조건에서는 internal형, external형, submerged형의 순으로 컸으며 그 값은 각각 9.30, 9.14, 8.97 MPa였다. 결론: 임플란트 경부 디자인이 주위 치밀골의 응력 분포에 영향을 미칠 수 있지만 그 차이는 크지 않은 것으로 분석되었다.
Abstract
Statement of problem: High stress concentration on the crestal cortical bone has been regraded as a major etiologic factor jeopardizing long term stability of endosseous implants. Purpose: To investigate if the design characteristics of crestal module, i.e. internal type, external type, and submerged type, affect stress distribution on the crestal cortical bone. Material and methods: A cylindrical shaped implant, 4.3 mm in diameter and 10 mm in length, with 3 different crestal modules, i.e. internal type, external type, and submerged type, were analysed. An axisymmetric scheme was used for finite elment formulation. A vertical load of 50 N and an oblique load of 50 N acting at 45〫with the implant’s long axis was applied. The peak crestal bone stress acting at the intersection of implant and crestal bone was compared. Results: Under vertical load, the crestal bone stress was high in the order of internal, external, and submerged types. Under the oblique loading condition, it was in the order of internal, submerged, and external types. Conclusion: Crestal module design was found to affect the level of the crestal bone stresses although the actual amount was not significant.
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